Individual provider Active NPI

Alima Fonderson

  • Pharmacist
  • Fredericksburg, VA
National Provider Identifier
1013511211
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202010907 Issued in VA
Practice address
4201 Plank Rd
Fredericksburg, VA 22407-4805
Phone
(540) 786-3008
Fax
(540) 786-1931
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202010907 VA Primary

Addresses

Primary practice location

4201 Plank Rd
Fredericksburg, VA 22407-4805

Mailing address

4201 Plank Rd
Fredericksburg, VA 22407-4805
Phone (540) 786-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0202010907VAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1013511211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074805",
            "telephone_number": "540-786-3008",
            "fax_number": "540-786-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074805",
            "telephone_number": "540-786-3008",
            "fax_number": "540-786-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDERSON",
        "first_name": "ALIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202010907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.